PRA IC List
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Agenda
Reg Review
ICR
Information Collection List
IC Title
Status
Responses
Hours
Dollars
Document Type
Form No.
Form Name
Intake/Interview and Quality Review Sheet
Modified
2700000
540000
0
Form
13614-C
Intake/Interview and Quality Review Sheet
Form
13614-C (SP)
Entrevista y Hoja de Informaci�n
Total burden requested under this ICR:
2700000
540000
0
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